| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.82 | $13.82 | $28.67 | |
Aetna
| Professional | $12.09 | $13.82 | $13.82 | |
Cigna
| Facility | $13.13 | $22.46 | $45.37 | |
Cigna
| Professional | $19.82 | $19.82 | $24.78 | |
Medcost
| Facility | $8.98 | $13.82 | $17.27 | |
Medcost
| Professional | $11.23 | $17.27 | $17.27 | |
United
| Professional | $8.64 | $8.64 | $17.27 | |
Wellcare
| Facility | $30.05 | $82.03 | $82.03 |